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腺样囊性癌中 AI 介导的免疫治疗药物:挑战与当前视角

英文原题:AI-mediated immunotherapeutics in adenoid cystic carcinoma: Challenges and current perspectives.

PubMed 2025/10/27(内容时间) Crit Rev Oncol Hematol Q1 · IF 6.2(JCR 2025)

研究概要

腺样囊性癌(AdCC)是一种少见、侵袭性强且无法治愈的头颈部肿瘤。

中文摘要

腺样囊性癌(AdCC)是一种罕见、侵袭性强且无法治愈的头颈部癌症。借助先进的机器学习(ML)和深度学习(DL)技术,人工智能(AI)已成为AdCC诊断、机制理解和治疗中的变革性工具。为实现精准医疗,支持向量机(SVM)、随机森林(RF)、K近邻(KNN)、逻辑回归(LR)、梯度提升机(GBM)、卷积神经网络(CNN)及人工神经网络(ANN)等模型可整合影像、组织病理和基因组数据。少数研究显示,CNN在特征提取和肿瘤分类方面准确率更高,而RF模型在检测与基因突变相关的疾病方面具有较高特异性。AI还可通过识别分子标志物并针对个体患者优化药物应答来支持靶向免疫治疗。SVM和RF可依据MYB::NFIB融合、NOTCH及WNT通路对AdCC亚型分类。DL模型分析影像和组织学,以评估免疫浸润并预测检查点抑制剂应答。GBM模型可依据PI3K/AKT和NF-κB通路改变对患者分组,以制定个体化免疫治疗方案。AI还可通过预测新抗原呈递并设计T细胞受体来增强CAR-T细胞疗法。采用AI驱动的循环肿瘤DNA(ctDNA)和免疫谱分析的液体活检,可实现实时治疗监测。尽管取得进展,临床整合、模型可解释性及数据质量仍存在问题。未来发展方向强调,联邦学习模型、可解释人工智能及大规模临床验证,是将AI整合至AdCC精准肿瘤学的关键。

展开英文摘要原文

Adenoid Cystic Carcinoma (AdCC) is an uncommon, aggressive, and incurable head and neck cancer. Using cutting-edge machine learning (ML) and deep learning (DL) techniques, artificial intelligence (AI) has become a game-changing tool for the diagnosis, comprehension, and treatment of AdCC. In order to provide precision medicine, models like Support Vector Machines (SVM), Random Forest (RF), K-Nearest Neighbours (KNN), Logistic Regression (LR), Gradient Boosting Machines (GBM), Convolutional Neural Networks (CNNs), and Artificial Neural Networks (ANNs) combine imaging, histopathological, and genomic data. Few studies reveal that Convolutional Neural Networks (CNNs) have achieved higher accuracy in feature extraction and tumor classification, whereas Random Forest (RF) models demonstrated considerable specificity in detecting the disease associated with genetic mutations. AI also enables targeted immunotherapy by identifying molecular markers and optimising drug responses to individual patients. SVM and RF classify AdCC subtypes based on MYB::NFIB fusion, NOTCH, and WNT pathways. DL models analyse imaging and histology to assess immune infiltration and predict response to checkpoint inhibitors. GBM models group patients by PI3K/AKT and NF- B pathway alterations for tailored immunotherapies. AI further enhances CAR-T cell therapy by predicting the presentation of neoantigens and engineering T-cell receptors. Real-time treatment monitoring is made possible by liquid biopsies that use AI-driven ctDNA and immune profiling. Notwithstanding advancements, issues with clinical integration, model interpretability, and data quality still exist. Future directions highlight federated learning models, explainable AI, and large-scale clinical validation as key to integrating AI into precision oncology for patients with AdCC.

论文信息

作者
Singh M、Singh C、Chauhan K、Rajpoot GK、Jain CK
第一作者单位
Department of Biotechnology, Jaypee Institute of Information Technology, Noida, Uttar Pradesh 201309, India.India
通讯作者单位
Department of Biotechnology, Jaypee Institute of Information Technology, Noida, Uttar Pradesh 201309, India. Electronic address: ckj522@yahoo.com.India
文献类型
综述
期刊
Critical reviews in oncology/hematology2025 Dec
原文标识
PubMed 41161628 · DOI 10.1016/j.critrevonc.2025.104984